Bouchard, Lawrence F

Bouchard, Lawrence F is an individual health care provider with primary practice located at 676 S Broadway St , Akron OH 44311-1059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bouchard, Lawrence F can be contacted via phone (330) 344-4000.

Contact Information

Primary practice address
676 S Broadway St Akron OH 44311-1059
Fax: (330) 253-2349
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-04-6863 Ohio

Profile Details

NPI number 1427038157
LBN Legal business name Bouchard, Lawrence F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Sep 22nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427038157 NPPES
Ohio Other 9338635 MEDICARE GROUP NUMBER
Ohio Other 2551671 MEDICARE GROUP NUMBER
Ohio Other 1841239274 MEDICARE GROUP NUMBER
Ohio Other 1548207111 MEDICARE GROUP NUMBER
Ohio MEDICAID 0170032 MEDICARE GROUP NUMBER

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